| 11/17/2021 |
| 06:46:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIKORA, DEANNA, | 5E-22109 | R | 80.25 | 4737********2558 | 000761 | 11/17/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 80.25 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.25 |